| NPI | 1619125564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN919) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17228) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2019-01-07 |